Dr. Louise Constantineau – Obstetrician and Gynecologist (OBGYN) | Sherbrooke, QC

As a skilled Obstetrician and Gynecologist (OBGYN), Dr. Louise Constantineau offers a comprehensive range of services from routine gynecological examinations to managing complex obstetrical cases, always prioritizing patient well-being and informed decision-making. Practicing at CHUS, Service echographie obstetricale, in Sherbrooke, QC, she provides accessible and high-quality care to women of all ages within the community. Her practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring safe and effective medical care.

Dr. Constantineau graduated with a Medical Degree in 1983 and has been practicing as a specialist in Obstetrics and Gynecology for over 41 years. She has completed extensive post-graduate medical training and holds certification in her field, demonstrating her dedication to ongoing professional development and excellence in women’s health care.

Her clinical philosophy centers on patient-centered care, emphasizing shared decision-making, evidence-based practices, and compassion. Dr. Constantineau is committed to supporting women’s health throughout all stages of life in Sherbrooke, fostering a trusting and respectful doctor-patient relationship. She is fluent in French, ensuring clear communication with her diverse patient population.

Dr. Louise Constantineau provides care for a wide spectrum of women's health issues, including:

Screening and Preventative Care

• Sexually Transmitted Infections (STIs) Screening & Counseling: Testing for common STIs based on risk factors and symptoms, along with counseling on prevention and safe practices.
• Bone Density Health (Osteoporosis Screening Referrals): Assessing risk factors for osteoporosis and referring for bone density screening (DEXA scan) when appropriate, especially around menopause.
• Breast Cancer Screening Awareness & Clinical Breast Exams: Performing clinical breast exams and advising on mammography guidelines and breast self-awareness for early detection.

Pregnancy and Childbirth Related Conditions

• Placenta Previa & Placental Abruption: Conditions where the placenta is abnormally positioned (previa) or detaches prematurely from the uterine wall (abruption), posing risks to mother and baby.
• Multiple Gestation (Twins, Triplets, etc.): Pregnancies involving more than one fetus, requiring specialized care and monitoring due to increased risks.
• Gestational Diabetes: Diabetes that develops during pregnancy, requiring careful monitoring and management to ensure health for both mother and baby.

Sexual Health and Dysfunction

• Vaginismus: Involuntary muscle spasms in the pelvic floor muscles that make vaginal penetration painful or impossible.
• Decreased Libido / Sexual Desire Disorders: Persistent lack of sexual interest or desire, which can have various physical or psychological causes.
• Dyspareunia (Painful Intercourse): Persistent or recurrent genital pain that occurs just before, during or after sexual intercourse.

This list highlights some common conditions managed within Obstetrics and Gynecology and is not exhaustive. For personalized advice regarding your specific health concerns, please schedule a consultation with Dr. Louise Constantineau or your primary care physician for a comprehensive evaluation and appropriate referral if needed.

• Management of Common Pregnancy Complications: Diagnosis and treatment of conditions such as nausea and vomiting of pregnancy (hyperemesis gravidarum), gestational diabetes (in conjunction with specialists if needed), hypertensive disorders, and preterm labor risk assessment and prevention strategies.
• Myomectomy (Fibroid Removal - Laparoscopic, Hysteroscopic, Abdominal): Surgical removal of uterine fibroids while preserving the uterus, utilizing the most appropriate surgical approach.
• Basic Infertility Workup & Ovulation Tracking: Initial investigations into causes of infertility and guidance on tracking ovulation.
• Preconception Counseling & Health Optimization: Guidance and health optimization for individuals or couples planning a pregnancy, including discussion of folic acid supplementation, chronic medical conditions, genetic carrier screening, and lifestyle factors.
• Endometrial Biopsy: Office procedure to take a small sample of the uterine lining (endometrium) for diagnostic purposes, often for abnormal bleeding or suspected abnormalities.
• Diagnostic & Operative Hysteroscopy: Procedure using a thin, lighted scope to examine the inside of the uterus and perform minor surgical treatments such as polyp removal, fibroid resection, or septum correction.
• Postpartum Care & Follow-up: Medical follow-up and support for mothers in the weeks following childbirth, addressing physical recovery, incision care (if applicable), breastfeeding support, contraception planning, and screening for postpartum mood disorders.

Note: This list may provide an overview of common services in Obstetrics and Gynecology. Dr. Constantineau provides a wide array of diagnostic, therapeutic, and surgical options tailored to individual patient needs within women's health, pregnancy, and childbirth. Specific services offered can be confirmed by contacting the clinic.

All medical and surgical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ). A referral may be required for insured services.

Dr. Louise Constantineau practices at the CHUS, Service echographie obstetricale, located in the Fleurimont West (Hospital Area) neighborhood of Sherbrooke. The facility is conveniently situated near Downtown Sherbrooke (Les Nations) and is easily accessible via the Société de transport de Sherbrooke (STS). The location is wheelchair accessible, ensuring comfort and ease of access for all patients. Paid parking options are close by, providing convenient parking during visits.

Are services from Dr. Constantineau, an Obstetrician and Gynecologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, prenatal care, delivery, gynecological surgeries, and diagnostic procedures performed by a licensed Obstetrician and Gynecologist like Dr. Constantineau are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when you have a valid referral from your family doctor or another referring physician. Some elective procedures, certain fertility treatments, or non-medically indicated services may not be covered. It's always recommended to confirm specific coverage details with Régie de l'assurance maladie du Québec (RAMQ) or the clinic.

Do I need a referral from my family doctor to see Dr. Constantineau, an Obstetrician and Gynecologist?

Yes, for services to be covered by your provincial health plan (Régie de l'assurance maladie du Québec (RAMQ)), a referral from your family physician or another specialist is typically required to see an Obstetrician and Gynecologist like Dr. Constantineau for most consultations and treatments. This ensures coordinated care. Some specific services or clinics (e.g., some sexual health or contraception clinics) might have different access pathways, but for ongoing obstetrical or gynecological care, a referral is standard. Please check with Dr. Constantineau's office or your referring doctor.

At which hospital(s) does Dr. Constantineau deliver babies or perform surgeries?

Dr. Constantineau is affiliated with affiliated local hospitals. You can confirm the specific hospital(s) where she performs deliveries and gynecological surgeries by contacting Dr. Constantineau's office directly. This information is important for planning your care and delivery.

How often do I need a Pap test, and what is it for?

A Pap test (or Pap smear) is a screening procedure for cervical cancer. It checks for precancerous or cancerous cells on the cervix. Guidelines vary slightly by province but are generally recommended for women starting around age 21-25 (or once sexually active) and continuing every 2-3 years if results are normal. The frequency may change based on your age, medical history (including HPV status), and previous Pap test results. Dr. Constantineau will advise you on the appropriate screening schedule for your individual circumstances based on current provincial guidelines.

What is an IUD insertion like? Does Dr. Constantineau perform this?

Yes, Dr. Constantineau can perform IUD (Intrauterine Device) insertions in the office. The procedure involves placing a small, T-shaped device into your uterus for long-acting, reversible contraception. During the insertion, you might experience some cramping, similar to period pains. Dr. Constantineau can discuss pain management options, such as taking an over-the-counter pain reliever beforehand or using local anesthetic in some cases. The actual insertion usually takes only a few minutes.

What birth control options can Dr. Constantineau discuss with me?

Dr. Constantineau can discuss a wide range of contraceptive options tailored to your individual needs and preferences. These include hormonal methods (like birth control pills, patches, vaginal rings, injections, hormonal IUDs, contraceptive implants), non-hormonal methods (like copper IUDs, condoms, diaphragms, cervical caps), and permanent sterilization methods (tubal ligation or Essure for women, vasectomy referral for men). The best option depends on your health, lifestyle, menstrual cycle characteristics, and family planning goals. Dr. Constantineau will help you make an informed choice.

What are my options for pain management during labor discussed by Dr. Constantineau?

Dr. Constantineau will discuss various pain relief options for labor, which can range from non-medical methods (like breathing techniques, movement, massage, hydrotherapy if available) to medical options such as nitrous oxide, narcotic pain medication, and epidural anesthesia. The choice depends on your preferences, medical condition, and the progress of your labor. It's a good idea to discuss your pain management plan with Dr. Constantineau during your prenatal visits.

CHUS, Service echographie obstetricale
3001 12E Avenue
Sherbrooke, QC J1H 5N4

Phone: (819) 346-1110

The facility is wheelchair accessible.

Dr. Constantineau is a licensed Obstetrician and Gynecologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from your family physician or another qualified healthcare provider is typically required for provincially insured consultations and treatments.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=83082